Bermant Gynecomastia Male Breast Reduction Plastic Surgery
Secondary Gynecomastia Forum and Chat

Recurring Gynecomastia - Secondary Surgery

Chat and Forum for Patient's Questions and Answers

Explore what others have to say about Male Breast Surgery (gynecomastia) using Recontouring Surgery and Liposuction (Suction Lipectomy) with answers by Dr. Michael Bermant, MD.

Michael Bermant, MD
Board Certified by the American Board of Plastic Surgery

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This is the page where you can review questions and stories from patients, view the opinions of lay persons, and see answers from Dr. Bermant and other physicians. Do you want to ask a question, post an answer, or make a comment? Information E-mailed to me will be considered for posting.

  • Why did you choose to have the surgery?
  • How did you choose your doctor?
  • How much did it cost?
  • Was the final cost the same as what you were told before the surgery?
  • How was the recovery?
  • Were there any complications? How were they resolved?
  • How do you feel about the results?
  • Did it have any effect on your life
    • emotionally
    • socially
    • sexually
    • professionally
  • How did others react to your surgery?
  • Did you learn any lessons?
  • What would you advise others?
Information posted in this section does not necessarily reflect the opinion of Dr. Bermant.

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The following is posted with permission of our patient:

Travel from Hong Kong, China for Gynecomastia Revision Male Chest Recontouring Surgery by Dr. Bermant 10 days after Surgery (Initial Operation by Another Surgeon)

Writing to say thanks

Am writing just to say thanks again to yourself and Dr. Bermant again for the wonderful care over the last few days, and to say that I'm safely back in Asia.

I returned to HK on Friday and am now traveling on business in Beijing.

This experience has definitely been great. The surgery was surprisingly painless (literally didn't feel anything), especially compared to my first surgery, and even the first night and first few days were surprisingly painless. I think I've had dental work that was more traumatic.

From this experience thus far, it's clear that I did get the best possible care in the world. It was easily worth the 18 hour flights each way and the cost. And I definitely got the best service possible. Thank you again for everything. Sincerely,


Dr. Bermant responds:

We are glad you got back safely. Please keep us informed on the progress your healing and evolving tissues.

Travel from Hong Kong, China for Gynecomastia Revision Male Chest Recontouring Surgery by Dr. Bermant 1 Month after Surgery (Initial Operation by Another Surgeon)

Hi Doctor, Jane,

Just wanted to write to give you an update on my overall situation.

Swelling on both sides are pretty much gone, but I still have some discomfort if I start to raise my arms too high.

This morning, I tried to get the phase 2 garment on, and managed to do so without too much difficulty.

So overall, things are progressing nicely . . .

- A

Dr. Bermant responds:

Yes, Revision Gynecomastia Sculpture of a major defect such as the one from your other doctor's surgery can take time to evolve. Glad to hear you are doing well and you continue to make progress. Please keep us advised and let us know if you have any questions.

Travel from Hong Kong, China for Gynecomastia Revision Male Chest Recontouring Surgery by Dr. Bermant 5 Weeks after Surgery (Initial Operation by Another Surgeon)

Hi Doctor, Team,

Things are going good here. Feels like the discoloration & swelling are pretty much all gone. Although sometimes it gets red for some reason and then goes away.

Am now alternating between the two garments.

Have restarted exercising about a week and a half ago, and things are fine. No running yet though - and am planning to try it out this weekend (along with some shoulder exercise). Will probably hold off on the chest exercises for at least another week.

Just one question - how long should I continue to wear the garments for? I remember the previous indication was a few months.


- A

Dr. Bermant responds:

The Second Stage After Gynecomastia Garment has value as long as it is more comfortable wearing than having it off and as long as the scars are still firm and evolving. Once the scars are soft, and you are comfortable out of the garment, the garment has no function.

Thank you for your update. Please keep us informed about your progress.

Re: 22 Months after Traveling from Ireland for Revision Gynecomastia

Hi Dr Bermant,

I would like to thank you for the wonderful work you did on my chest with the secondary gynecomastia procedure. As you already know i had work done with a previous surgeon who had butchered my chest. After that procedure i did not have much faith in having an operation again, and i did not think i would ever be able to have a "normal" chest. However i searched the internet and i found your web page to be very informative and easy to navigate around. Also you were quite realistic in how you presented the preparation and procedures. It was also good to know that you had a lot of experience in doing this type of surgery.

After organizing an initial consult via the phone i was quite happy to move forward and have the operation. The face to face chat was fantastic and you and your staff made me feel very much at ease. The surgery was quick, i was in and out in one day and the aftercare that the nurse provided was fantastic. And well the results i was very happy with. The after scar treatment was great even though i could have used the garment for longer than the minimum time. I am so happy with my new chest! I have so much more confidence in walking around without my shirt on, I go swimming and sunbathing with out even worrying if people can see my chest. Thanks again for a wonderful experience.



Dr. Bermant responds:

Our Preliminary Remote Discussion, is a very valuable tool to get the process started. We are glad you are enjoying your new chest. Thank you for sharing your experiences.

Re: Traveling from New York for Revision Gynecomastia

Dear Dr. Bermant,

First and foremost I just want to thank you. I could not have wished for better results from my gynecomastia surgery. From the first appointment I had with you up until my most recent one, a week after surgery, you have been nothing but spectacular. I encourage anyone who is looking for a plastic/reconstructive surgeon to strongly consider Dr. Bermant. I should know considering I already had one gynecomastia surgery from another doctor before I found out about Dr. Bermant.

Over a year and a half ago I approached my parents about my gynecomastia. I was 19 at the time and extremely embarrassed about taking my shirt off in public. My parents have always been supportive so I wasn't scared to ask them if surgery was a possibility. After searching the web I found a doctor, Dr. -, who was close to my hometown and who seemed like he knew what he was doing. I showed my parents the site and a couple of appointments later, my surgery was scheduled.

January 30th, 2003 was the date of my first surgery. I remember it clearly because I still get upset when I think about it. When I got to the office I was so excited that my chest would be fixed and I'd finally look like a normal "guy." An hour and a half later, I was out of the office and on my way home.

The hours following surgery were the most painful hours I could remember. I was given pain medicine but it didn't do much for the burning and just unbearable feeling in my chest. The doctor did advise me that there would be some 'discomfort' but that was an extreme understatement. Throughout the first two nights I could barely sleep. I just kept telling myself it's okay because when I see my new chest, the pain would go away.

The first time I took my garment off, I noticed that my chest did seem flatter, or so I thought, but my nipples were very puffy. More so then before surgery. When I had my first post-surgery appointment I asked Dr. - if that would go away and he told me "Yes, just give it some time." Months later, the puffiness was still there and Dr. - was still saying "Give it some time."

This is when I went online and found Dr. Bermant. I typed in "puffy nipples" and the first site that popped up was his. I saw that his gynecomastia surgery includes getting rid of the gland that was under the nipple as well as flattening out the chest. At this time I realized that Dr. - wasn't as educated or talented as Dr. Bermant, and he was using the "give it some time" answer as an excuse. I was hesitant to tell my parents about Dr. Bermant because I just had surgery a few months ago and his office is in Virginia, which is far from my hometown. So I didn't say anything and just kept hoping that there was a possibility that my nipples would swell down.

This past January, a year after my first surgery, I had to tell my parents. My chest was not going to change anymore and I was more embarrassed now then ever. I talked with them and showed them Dr. Bermant's website. My mom and dad was amazed by the site. So much so that even after having one surgery and being low on funds, my parents agreed to meet with Dr. Bermant.

That's where it all started. We drove down to Virginia hoping that this doctor was different from my first, and drove back home knowing that he is in every way. The way Dr. Bermant works in every aspect of the word, is incredible. He not only explains everything in detail, but he records everything on a tape recorder, uses tools that Dr. - has probably never seen, and answers every question you have with complete honesty. He works how doctors are supposed to work, and then some.

My parents were impressed so much that we scheduled my second surgery for this past April. I was very impressed as well, and something inside me told me not to worry about how Dr. Bermant's surgery would turn out.
It is now almost a month after surgery, and my experiences with Dr. Bermant and Dr. - are night and day. First off, my chest looks better than I could have ever expected it to look after surgery. Every aspect of my time with Dr. Bermant blows Dr. - out of the water. The pain after Dr. Bermant's surgery was so minimal that I only had to take two pills in three days to help it. I was at work the following Tuesday, and even my garment is more comfortable than the one given to me by Dr. -.

All in all, I could not be happier with my results and am glad that I had the opportunity to see how a real plastic surgeon works. Dr. Bermant, once again thank you so much. I look forward to seeing you on my next appointment, and hopefully anyone out there in search of a plastic/reconstructive surgeon considers Dr. Bermant. You will not be disappointed.



Dr. Bermant responds:

Thank you for your kind words and sharing your experiences.

Re: One Year After Traveling from New York for Revision Gynecomastia

Dear Dr. Bermant,

It's been a year since my gynecomastia surgery and I couldn't be happier. My scars are completely healed and my chest looks better than ever. Every day I wake up with a sense of confidence that I didn't have before visiting your office. I just wanted to write again and let you know how I'm doing. I cannot thank you and your staff enough. Hope everything is well, enjoy the Spring.



Dr. Bermant responds:

We are glad you are doing so well and enjoying your new chest. My staff and I appreciate the feedback about your progress.

Learn more about patients who travel from New York, Manhattan, and NY State.for Gynecomastia Surgery.

Re: Recurring Gynecomastia - Traveling from New York for Dr. Bermant's surgery

Dr. Bermant

My name is - and you performed a glandular excision/liposuction on my chest (2 years ago). I never took the time to say thank you. You are awesome!!!! Your work allowed me to feel much more comfortable and manly about my appearance. Your staff was so nice and professional and made me feel so comfortable about the procedure. I was never embarrassed.. The time you spent explaining the procedure to my dad while I was in the recovery room after surgery meant the world to him, because I was too embarrassed to explain to him what or why I was doing it.

Being a man, appearance is critical. I was so embarrassed when I first called in that I hung up on your receptionist (I believe her name was Jane) when she picked up. It took me hours to call back and I am so glad that I did. You and your website helped me to understand that I wasn't alone by having the condition that I did. When we last met, you pinpointed my cause and explained that the seasonal allergy medication, (prednisone) that I had/have been taking for the last 10 years was probably the reason for my condition. You were absolutely right!

After surgery, I was absolutely amazed by your work. You explained that I may want to consider skin reduction because I was borderline prior to the surgery due to marginal skin redundancy. Your surgery allowed me to take off my shirt at the beach for the first time in 15 years without feeling embarrassed that summer. My friends didn't believe me when I finally confessed about my surgery and they remarked on the fact that there weren't any noticeable scars. Some even doubted if I had surgery done at all. I also noticed a huge difference in my reception at the gym. In the locker room, you can tell when other guys have the same problem you have. Many try to camouflage their condition and spend endless hours at the gym trying to reduce fat %. I could actually wear a t-shirt without constantly looking at myself and I knew that I looked damned good.

Specifically, your surgery has allowed me to feel much more confident about my self-image and save money by not having to spend money on excess clothing for camouflage. Part of being a man is feeling like a man. I strongly encourage any guy that feels self-conscious about their appearance to at least get a consultation from you. Being that confidentiality is paramount for any guy going through this procedure, I can attest to your superiority, in service, costs, quality, and privacy. I highly recommend you to any man that is considering body sculpting. I give you permission to use my photos with this letter to assure anyone who is considering this procedure. Please let me know if any of your potential patients have any questions regarding the procedure.

Dr. Bermant, as your patient, I do want to let you know that as I restarted the prednisone treatment 3 months after my surgery for my seasonal allergies, I did notice a gradual return in growth of glandular tissue each year due to the medication, as you predicted, and as a result have discussed the situation with my doctor. We recently began allergy shots to avoid taking prednisone this spring. I am saving up money now to repeat the procedure, plus have the skin reduction and even liposuction contouring on my abdominal area as you suggested. I wish I could afford it today, because I would do it over in a heartbeat.

Thank you so much Dr. Bermant! Thank you. Thank you. Thank you. Your website and specialty in this field has helped so many men to feel complete. I cannot believe how little pain I had while under your care. The recovery period and scar tissue were so minimal that I had to look at my "before pictures" to remind me how much work you had to do in my situation. I am simply blown away by the lack of pain and discomfort I felt. I only took Tylenol for one day? I was able to fly to the Bahamas on a company trip within 4 days of the procedure and my VP had no idea what had happened. You are truly a blessing, Dr. Bermant. It is no wonder that people travel from across the country to you. I am so grateful for your skill and work. I promise to come back and have you work on me as soon as I can afford it.



Dr. Bermant responds:

Unfortunately, steroids can result in breast growth after surgery. It will be nice if the allergy shots can make you comfortable without the steroids. We would be glad to see you to explore your concerns and possible options. Thank you for your kind letter.

Learn more about Dr. Bermant's New York Gynecomastia Patients.

Sub: Travel from Maryland for Revision Male Chest after surgery by another doctor

Dear Dr. Bermant,

I just wanted to take a minute to show my appreciation for your great work. The amazing results of my gynecomastia revision surgery has indeed changed my whole outlook on life. Because of my gyno before, I always felt a need to hide my body, ashamed of the the way it looked. Summer became my least favorite season because I had to wear layers of clothing and suffer in the heat. I avoided going out and visiting friends and gave excuses when they wanted to visit me. Swimming was totally out of the question, as was any thought of going to amusement parks or beaches. Even going shopping was depressing, as I watched my friends shop for tshirts (even worse, vintage style, thin tshirts was the trend).

Now, about 2 months after the surgery, I feel as if I have gained my freedom back, as it were. I've invited my friends to come visit, as we have just moved to a house with a pool. I'm also planning to go with them to a water park. Summer has again become my favorite season. Basically, I no longer feel as if my body has some sort of deformity. After my previous gyno surgery, I had basically given up on the idea of having a normal chest, as I didn't know that the previous doctor had done such a horrible job.Now, I can't believe how much time I wasted before thinking about how awful my chest was and how I could hide it. In a nutshell, you gave me my life back, you really did. You did an amazing job, especially since my surgery was a revision of a horrible job done my another surgeon.

I also wanted to mention how great the experience with you and your colleagues was. I felt very very comfortable throughout the whole experience. Whereas my first gyno surgery caused me a lot of pain, I really didn't even need painkillers this time. And although I was nervous about the nipple reduction surgery, since I would be awake, I felt absolutely no pain. Your staff were all very pleasant as well. I was well informed of everything and always felt that any question I had was answered ... Theresa was a doll, and I really enjoyed conversing with Jane!

The drive to your office was definitely worth it. My only regret, as I told you, was that I did not come to you in the first place. I should have followed my instincts, but everything turned out great and I am ecstatic about how my chest looks and feels now. Your website is a great work of art in itself. I am sure that it provides great comfort for lots of other men suffering from gyno as it did for me. The information you put up there, along with the photos and explanation of the surgery is priceless. It helped me to understand what was wrong with my body, and there is a lot of comfort in that knowledge. I also wanted to mention my appreciation for you being straightforward about my condition during the initial consultation. You knew exactly what was wrong and told me what my options were. Jane got back to me right away to follow up, which was great.

I wish I could be more articulate in expressing my gratitude and feelings. It's hard to find words that can convey how happy I am at the results. I cannot thank you enough for your great work so I'll simply end this with a simple ... Thank you Dr. Bermant.

Sincerely, R

Dr. Bermant responds:

Thank you for taking the time to discuss your experiences.

Travel from Ohio - 1 Week After Revision Gynecomastia Surgery

My Story:
I had my first surgery in 2006 for a minor case of gyne. I went to a local board certified surgeon after viewing many photos and asking a bunch of questions to include avoiding craters from surgery. I felt comfortable and had the surgery done. The next day I observed concavity on both sides, and asked my Dr. about it. He stated I needed to give the skin time to "tighten" up in his words. I found this unsettling because the skin was tightened around the nipple, but there was a hole that I could feel under the nipple. After six months I confronted my Dr. and told him I was not happy with the result of the craters, and he stated that my skin just didn't tighten up enough and there was nothing he could do. I was so mad after spending all of that money, and I looked worse with craters than with a mild case of gyne. In addition his scars looked ugly as he came to far away from the nipple on both sides. I thought about plastering his name all over this board, but I choose not to do so. I blame myself for not doing more research, it was a costly lesson. After my surgery I dealt with the craters for almost 5 years, and began to get more depressed about not being able to enjoy myself in the summer with my shirt off, gyne was still controlling me even though it was "gone." I had enough and started to research more about revision surgery and came across Dr. Bermant. His website had the most information with movies, which was important to me after being "fooled" with my first surgeon. I booked the surgery after having the remote discussion.

Surgery Experience:
Upon arriving in Chester I had my initial appointment and met with the Dr. Bermant. He was very meticulous when he was doing my examination, my previous Dr. basically felt my chest and stated yes you have gyne, and didn't draw his surgery markings on me until I was laying on the surgery table. I didn't know it at that time but now I realize how could I have gotten a good result with a technique like that? Dr. Bermant had me flex move in many differant positions and then drew his markings, and double checked it. I arrived the next day for the surgery and he again checked his markings to make sure he had it right. This is what a perfectionist does, not some just trying to take your money and on to the next client.

The day of the surgery I met with the anesthesiologist Jim, who I must say was a really nice guy. He just like Dr. Bermant explained the entire process making me even more comfortable than I already was. Jim brought me into the operating room where I laid down on the table, and was off to dream land shortly therafter. I woke up just as the procedure was ending, and didn't feel much pain at all. I got up and was wheelchaired to my car. This was policy, as I felt good enough to walk to the car on my own. That evening I went to a restaurant with my wife and had dinner with no problems. I was a little tired, but no big deal. I went back to my hotel room, took half a tab of pain medication that was prescribed and went to bed for the night. The next morning I didn't have full range of motion but good pretty much do everything except holding my arms above my head. I went back to see Dr. Bermant which consisted of more pictures and instructions on continuing to wear the garment I had on. Due to it being a revising surgery I had to stay in the area for six days. It was an inconvenience, but only because I was out of state. Me and the wife took this as a great time to visit the D.C. area and had a blast. After our short vacation was done I came back for my last follow up and had the dressing removed. Dr. Bermant took more photos and gave me information on scar care, and answered any and all questions I had.

The steri-strips are on right now and my tissues are still adjusting so I just cant wait till the healing stage is over so I can see the final result. Emotionally I allready feel so much better that I have this deformity behind me. It's been a long battle but I think I have finally won, with the assistance of Dr. Bermant of course. I will try to get some photos up in a couple of weeks.

My Recommendation to Others:
Although your surgeon my show you pictures of what appears to be a "successful" surgery don't be fooled. If I had to do it again I would ask to see close up of scars, ask how long of an incision they make, ask to see movies (which they probably won't have), ask to speak to previous clients. You get one chest, dont be like me and go to a surgeon because they are conveniently located near you, and their pictures "look" good.

I just want to add how nice the office assistant Jane was. She mad me feel so comfortable every step of the way, its hard to find her type of customer service around anywhere these days.

Dr. Bermant responds:

Thank you for permitting us to repost your experiences. We look forward to learning about your progress.

Travel from Ohio - 8 Months After Revision Gynecomastia Surgery

I apologize for not posting in such a very long time. But much like Dr. Bermant has said I have moved on with my life, and gyne has just become a painful memory that I hardly look back on. You can see the visible results after my first surgery (not with Dr. Bermant), and the after effects were almost worse then prior to having the surgery. I was reminded of my gyne every day while looking in the mirror before taking a shower and seeing the disaster my first Dr. left me with. I researched long and hard, and it payed off with my final result that I now have.

My chest today is about as "normal" as you could get. I have very small scars that you can barley see only when u you look up close for them. Those debating revision, do not let travel or money sway your decision get it done right. I will have to look for, or take some new pics so you can all see the final result.

Dr. Bermant responds:

It is nice to hear about your progress. Yes, that is exactly what we stive to help our patients achieve. Both the physical and emotional healing. We look forward to you new images.

Sub: Revision Male Chest after surgery by another doctor

I just wanted to thank you for taking such good care of me the other day. All I can say is, WOW!!! I am very pleased with the result, and I assume things will only improve. I must say, that I am amazed at the lack of bruising (almost none) and swelling (very little). I do not know what you did, but compared to last years procedure, the results are 1000% better, with less bruising and swelling. Keep up the miracle work!!
Thank you very much!!!

- from Texas

PS. Just so you know, E, the nurse that looked after me when I left the hospital was very nice and professional. I know Jane said the regular gal you used no longer worked at the service. Well, E is a good replacement.

Dr. Bermant responds:

Glad you are doing well. Thank you for the feedback about my revision chest wall sculpture and the nurse. If you have any questions or concerns, please let us know. We look forward to seeing you at your next follow up visit.

Traveling in from Florida for Secondary Surgery

I'm also a 2nd surgery patient of Dr. Bermant. My surgery was almost 4 weeks ago and my chest is awesome . I have only a little bit (believe me, minimal) swelling in my left side which was my most problematic one but my right chest is perfect. I had lipo ... here in South Florida and I knew all the time I needed excision too but my Dr. decided not to do it. Well that's why after making research I decided I will finish with this problem once for all and decided to travel to Richmond to see Dr. Bermant. I remember me at that time imagining all the hassle I will have to go through (telephone consult, tickets, cars, hotels, surgery, traveling back, etc) but in the end everything was simple and so worthy. I remember in my first surgery that I was flat like for a week but after that my nipples "puffed out" and never went down. I always wondered that why only my nipples were swelled and not all my chest. So I asked once Dr. Bermant about why only my nipples where swelled at that time and he told me he won't discuss about what the other Dr. did but he told me his patients never go through the "puffy nipples" issue. In other words, I believe you can have all your chest area swelled but if your Dr. performed a proper and correct surgery, there's no reason to have "puffy nips". As I said before, I'm getting to the four weeks and my chest is awesome. I always had a nice contour by my nipples all the time stuck out but this time it's amazing seeing my nips flat and stuck to my chest area. I have to travel to Richmond at the end of next month for a follow up with Dr. Bermant and I will be two months at that time and I will ask him to give me a copy of my pre and post pics so I can post them up.

Just try to choose a good surgeon, not base on proximity (that was my great mistake) but based in qualifications.

Traveling in from Florida for Secondary Surgery: 6 Months post-op with Dr. Bermant (2nd surgery)

Hello everyone!!!

Sorry for not coming to the board lately but I've been busy with college and work plus now that my chest is not a problem, I tend to forget what I've been through.

For those who don't know or remember me, I'm a 25 year old (since a week ago) that had gynecomastia and decided to make something a year ago. Unfortunately I wasn't very informed and choose a terrible Dr. here in Florida named ... and he performed only liposuction (even though we discussed incision because of the lumps in my chest!). After surgery my chest was completely flat but a week later it started to return to the same as before.

Then after six months my chest was the same and the lumps were still there so I found out about Dr. Bermant and decided to call him. He answered all my questions and I knew from that minute that he was the one (Neon ). So on ---- I had my surgery and he change my life changing my horrible puffy nipples to a flat chest.

Now I'm 6 months post op and my chest looks great! My chest is flat and everyday is getting better. I'm able to use the cloth I've always wanted and I'm working hard in the gym and for the first time I feel completely happy because I can see the results of working out without seen the puffy nipples. I spoke to Dr. B yesterday asking so questions about tanning and all that, and he was very friendly and helpful. He even told me that he posted my pictures on his website.

You can look at them here

But my chest looks even better now that the pics he has from 4 months ago so I'm planning to visit him next year for some new pics. Then he also e-mailed me and told me that he enjoyed talking to me and he's happy that I'm enjoying my new chest.
The only "but" that I still have is that I have 2 noticeable scars from my first surgery under my pectorals. I'm still using cocoa butter even though I know that scars that old are difficult to improve. My scars from Dr. Bermant surgery are even better than my old scars!

Finally for all of you guys, I just wanted to share my experience and tell you that if your considering surgery, Dr. Bermant is the right choice. He has the expertise, the knowledge and you can save a lot of money if you just do it once....not like me that I went through a tough situation only because I was desperate and made a wrong decision.
Good luck to everyone and God bless you!

Dr. Bermant responds:

Thank you for sharing your thoughts and permitting us to repost your comments.

Traveling in from Florida for Revision Surgery: 3 years post-op with Dr. Bermant (2nd surgery)

I had 2nd surgery with Dr. Bermant (hi doc!) about 3 years ago. You can see my case on this website.

I've had a normal body, athletic and had surgery in Miami with a terrible Dr. -- that only did lipo when we both knew it was also glandular (and we discussed it!). He didn't offered a revision neither I wanted it because I didn't trust him so I contacted Dr. Bermant and my life has changed since then.

If you can, I really recommend Dr. Bermant for a revision surgery cuz it's worth it. A revision is even more complicated than a 1st time so just do it right and travel to see him. BTW my chest looks even better now!!!


Dr. Bermant responds:

Thank you for the follow-up.

Michael Bermant, MD

Travel from Pennsylvania for Revision Gynecomastia Surgery After Surgery by PA Surgeon

Dear Dr Bermant,

This is D, I was a patient and had gyno surgery 2 and a half weeks ago. I am doing great, no pain and the chest is looking awesome!


Dr. Bermant responds:

Thank you for the progress update. Please continue to keep us informed about your progress.

Michael Bermant, MD

Unhappy After Gynecomastia Surgery

Dear Dr. Bermant,

I saw you (a year ago) for a consultation and you required a full endocrine panel and a male mamogram before proceeding. Needless to say I never followed through.

My point in writing is that I recently underwent gynecomastia surgery with a Dr. - - in - -, CA, where I reside. It was done (last week). I am ashamed, angry, frustrated, and full of regret for having used him to perform the precision work he claimed he was qualified to do for as he stated "I have performed the most of these procedures of any surgeon". I feel I was butchered. It has been 10 days and it looks horrendous. My left nipple is looking infected. Everything looks mashed up and not properly contoured. The Dr. is out for the next week because of surgery he had and I have noone to relate this info to that could understand the emotional pain I'm going through having entrusted him to do work he said I could expect him to do...and then this. I went in there for my 2nd post op visit today and again, I met with unaccredited physician assistant who had no experience or professionalism. It's almost more than I can bare. I feel really upset having spent 6 grand for this half-ass, substandard work. How long do you recommend I wait it out, and heal up before seeking your counsel? You are the only hope I have now. I need reassurance that I didn't blow it and that the issues that were of concern to me can still be corrected. Please advise.


Dr. Bermant responds:

Most doctors have another physician to help with emergencies and urgent questions when they are away. You may want to check what else is available until your doctor returns.

Tissue evolution after surgery depends on many factors. Not all surgeons use the same techniques nor offer the same results. Some defects have no reasonable surgical options. It is easier to remove than replace. Timing of possible intervention depends on the current problem, healing of tissues, and other factors we are glad to help you explore during another remote discussion or in office consultation. If there are no immediate pressing needs, tissues need to soften before Revision Male Chest Sculpture can be done. This can take 6 months or longer.

Copies of your operative report, doctor's office notes, and endocrinology testing can all be of great value at the time of your evaluation. If you are interested in our help for possible revision, please call our office.

Michael Bermant, MD

Deformity After Gynecomastia Surgery

Hi. I have had a breast reduction procedure in 1983. The surgeon experienced heart failure during surgery and the resident finished the procedure. He, the resident, excised too much fat tissue from the area above the nipple on both sides. The indentations are the size of about 1/8 the size of golf balls. It looks bad.

Are you aware of any technique to correct this? I guess I was thinking that if breast implants can be done for women why couldn't something be done for me. By the way, I'm a male. A response would make me feel good. Thanx


Dr. Bermant responds:

Revision gynecomastia surgery may help. Options for revision depends on the original problem, what was done, how you healed and other factors best explored during an evaluation. We are glad to help you explore such issues during a consultation or preliminary remote discussion. When possible, having copies of operative reports, doctor office notes, and before surgery pictures can help during your evaluation. Records from 1983 may not be available. We look forward to helping you explore your concerns.

Michael Bermant, MD

Travel from Florida for Revision Gynecomastia

hello, i have been looking at your work for sometime now and from what i have read and seen you are the god of gynecomastia surgery and i would just like some advice... First i would like to say that i made a big mistake and should have came to you, but the surgeon i went to here in Florida was well regarded so i didnt think i could go wrong (big mistake) i just had surgery done about a month and a half ago lipo only and it was anything but successful... My only question for you is that the surgeon is very sure of himself that it will go down, but i dont see how its possible considering i have 2 golfball size glands that are hard as a rock still.... he says that he can take the glands out 6 months later if he needs to in his office but it scares me because i dont want craters in my chest and i am not impressed with his work..... How much would it cost for you to fix this mistake and remove the glands properly, but if i do let him go through with the gland removal, later will it be harder for you to fix it and will it cost more......

p.s. can you give me a rough estimate for total cost because i saw you charge 2800 but how much will everything else be????

thank you

Dr. Bermant responds:

1 1/2 months is very early after surgery with some methods. Healing tissue can be firm like gland. Liposuction alone does not manage gland of gynecomastia well at all. I minimize risks of Crater Deformity after Gynecomastia with my Dynamic Technique.

We are glad to help you explore your concerns during a consultation or a Preliminary Remote Consultation. Jane is my office manager and can better discuss costs and fees. She can normally be reached at our office by phone Monday - Friday 9-5 Eastern Time at (804) 748-7737.

Michael Bermant, MD

Subj: Re: Gynecomastia

Dear Dr.
I have undergone two gynecomastia liposuction procedures and have developed a slight tissue redundancy. I have been recommended a limited mastopexy. Is this the correct procedure to remove the excess skin. I am concerned about the degree of scarring. Thank you for your answer.


Dr. Bermant responds:

Male breast size can be minimal or so large that simple liposuction alone will not manage the deformity. Liposuction removes redundant fat and not the extra skin. In many cases the skin may shrink enough that skin removal is not necessary. In other cases it is obvious that the skin component should be part of the original design. In marginal cases the skin removal can be planned as a second stage. It depends where the extra skin is as to what type surgery is indicated. Male chests that are drooping (Ptosis) just do not look good. Operations can start from minimal incision techniques to the full anchor type reductions. Skin reduction scars for Breast Lift in men are an issue for the male chest. That is why I evolved my Internal Male Mastopexy Breast Lift with smaller scars.

We are happy to help evaluate concerns during an in office evaluation or a preliminary remote discussion.

I hope this information proves of some use. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737. My staff and I try to ensure the comfort of our out of town guests during their consultations and procedures.

Michael Bermant, MD

Travel from New York for Revision Gynecomastia after Liposuction Only Failure

Hi Doc, My name is D. I live in Yonkers New York. I recently had liposuction on my chest. My problem is I have Gyno. As you would guess the liposuction worked but my gyno is still there. The doctor led me to believe he might be able to remove it threw liposuction. He was wrong. I have a follow up on December 6th. My question is does surgery cost $2800 plus operating room fee? What is the O.R. fee? I have noticed you have done a lot of these surgeries and am considering driving to Virginia to meet you.


Dr. Bermant responds:

Yes, I have seen many patients from around the world for revision gynecomastia surgery after liposuction alone failure. Cost of surgery to revise the chest depends on the deformity, what needs to be done, and other issues. Jane is my office manager and can better discuss typical fees. She can normally be reached at our office by phone Monday - Friday 9-5 Eastern Time at (804) 748-7737.

We are glad to help you explore your concerns during a consultation or preliminary remote discussion.

Michael Bermant, MD

Travel from Staten Island, New York for Revision Gynecomastia

Dr, Bermant,
For some years now I've had the problem with gaining access fat in the chest area. Although I have strong check muscles, there is excess fat around the niple area. As noted in your website, I to cannot walk around with my shirt off; I try to wear a certain type of shirt as to not show my chest. When working out I hate to do excerses that prompt me to rais my arms high, as that is when my niple area really shows.

About one year ago, I have lipo in the chest area and under each lateral side of the arm. It realy appears the Dr. did not have the expertise to correct the chest area. While in the Army serving in Iraq, I hoped the exessive fat would burn off do to how hot it wasand the fact we still had to exercise when time allowed. Still, I'm faced with the problem. I have had two other consults with Dr.'s here in NY and NJ. However, neither presents themselves as being confident about the outlook if they do the surgery. After reading and reviewing your site, to include looking at the before and after pics, I'm very impressed! The after photos really look good.
I have attached pics depicting the problem. Your feed back would be appreciated. Hopefully I can schedule an appointment.

Thanks, R

Staten Island, NY

Dr. Bermant responds:

LIposuction is a great tool for fat. However, all liposuction techniques preferably go after fat instead of gland. We see many patients from New York for revision gynecomastia surgery and are glad to review your images and explore your concerns during a Preliminary Remote Consultation.

Michael Bermant, MD

Yonkers New York and Revision Gynecomastia

Hi Dr, Bermant my name is D I live in Yonkers New York. I suffer from gyno. About two years ago I went to the doctors and he recommended liposuction instead of getting the glands removed. It looked better but I was expecting more. I am looking to get the gyno removed once and for all. I am thirty-five years old and am 5’ 10” tall 220lbs. I have been lifting weights my whole life and haven’t been comfortable removing my shirt since I was nineteen. Does the twenty eight hundred include the full surgery, which is removal of the gland? What is the operating room fee? Can I leave after surgery? How long does it take to get an appointment? I look forward to hearing from you.


Dr. Bermant responds:

Cost of surgery depends on the problem to be treated. Jane is my office manager and can better discuss typical costs and fees. She can normally be reached at our office by phone Monday - Friday 9-5 Eastern Time at (804) 748-7737.

Patients usually are able to leave Richmond the day after surgery for primary gynecomastia surgery. Stay after revision surgery depends on what needs to be done and other factors we are glad to discuss during your evaluation.

Michael Bermant, MD

Gynecomastia questions and answers forum

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